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M - F: 10AM - 6 PM
(Walk-ins before 5PM)
Sat: 11AM - 5PM
(Walk-ins before 4PM)
2001 East 4th Street
Santa Ana, CA 92705
We are on the corner of 4th Street & Golden Circle
Open Care does not “lock in” our patients with some type of expensive “packages”. Our patients are always in charge. At Open Care you pay for each service you received.
Initial consultation: $249.00 - $50 OFF first time discount = $199 ONLY
Promotion: FREE saliva hormone testing! (a $150 value)
Follow up consultation: $149.00
Lab Tests: $150.00 to $350.00
(Depends on which panel)
Medication cost: $50.00 to $299.00 per month (depends on what medications and dosage)
The follow up lab tests usually will not be as complete as initial one and cost less. If you have done lab work recently, not longer than 6 to 9 months, our doctor may use that report and avoid repeat another one.
Insurance: Some insurances do cover medications and lab tests, you can call your insurance and pharmacy regarding your coverage. Open Care does not bill insurance but we can provide documents to help your insurance claim upon request.
Some of the known and common benefits of women's hormone replacement therapy include:
Reduced joint and muscle pain
Reduced risk of colon cancer
Reduced rate of bone loss
Reduced rate of heart disease
Reduced rate of Alzheimer’s disease
Reversal of vaginal atrophy
Maintenance of youthful skin quality
Women who are hormonally deficient, especially those who have had their ovaries removed and are going without hormone replacement therapy are known to have higher rates of death from heart attacks, strokes and osteoporosis. Studies support these findings and in addition show that the mortality rate is lower by more than 40% in the women who took estrogen.
Hormone replacement therapy with estrogen is heart healthy, it protects your bones, it maintains your brain function, it protects against Alzheimer’s and it helps keep your skin looking great. Don't wait. Schedule your free hormone replacement therapy consultation today!
For a risk-free consultation about Hormone Replacement Therapy, call 714-558-8033 or fill out the appointment form located throughout the site. We look forward to speaking with you and seeing if Hormone Replacement Therapy is a good option for you and your health concerns.
What are some of the symptoms of hormone imbalance?
- Irregular periods
- Hot flashes and/or night sweats
- PMS symptoms (cramps, bloating, breast tenderness, headaches, and/or irritability)
- Sleep difficulties
- Fatigued and/or have loss of energy
- Feeling sad, moody or overwhelmed
- Feeling anxious, having anxiety attacks, or temporary heart palpitations
- Feeling forgetful, fuzzy-minded or confused
- Irritability or just not feeling like yourself
- Bloating, gas, diarrhea, constipation or nausea
- Stiff or achy joints
- Weight gain, especially around the middle, in the past year
- Loss of libido or a change in sexual desire
- Vaginal dryness
- Cravings (sweets, carbohydrates, etc.)
- Thinning hair or skin, or hair loss
Do these symptoms sound familiar to you? Most women are surprised to learn
that the symptoms they’ve been dealing with for months or years are really signs
of hormonal imbalance — and that there’s a lot they can do to heal themselves.
Many women have decided to try Bio-identical Hormones based on their symptoms,
especially after reading books by Dr. John Lee, including "What Your Doctor May Not Tell You About Menopause" or Suzanne Somers' books. Many others who have had a hysterectomy or are post-menopausal want to restore hormone levels to feel better and enjoy a healthier lifestyle.
You need to have a consultation with your medical doctor and have an appropriate test panel done by using saliva, blood spot and/or blood testing for your hormones.
California State health law requires that the testing of any specimen collected
or mailed from California be ordered from a health care professional licensed in
Saliva Testing of Hormones
Simple, stress free collection of saliva at home. Testing at can help you determine if your hormones are out of balance.
Why test saliva?
Because steroid hormones play such a vital role in maintenance of health, knowledge of an imbalance in any one or more hormones can help illuminate the cause of health problems and provide a rational basis for correcting the imbalance through diet, exercise, or hormone supplementation.
Are the levels of steroid hormones in blood and saliva the same?
When the various glands manufacture the steroids they are released into the bloodstream bound to carrier proteins. Only a small fraction (1-5%) of a given amount of steroid hormone breaks loose from the carrier protein in the bloodstream and is free to enter target tissues. This free or unbound hormone is what we want to measure, since it is active or bioavailable to the target tissues such as the breast, uterus, brain, and skin.
Many studies in the scientific literature have shown that there is a strong correlation between the levels of steroid hormones in saliva and the bioavailable (free) levels of steroids in the bloodstream. The amount of steroid hormone that enters the salivary ducts and then saliva is representative of the fraction of steroids in the bloodstream that are bioavailable to other tissues in the body.
Advantages of saliva vs blood testing of steroid hormones Saliva collection is easy, can be done anywhere, any time and at a much lower cost. Serum hormone testing is stressful, and the stress of a blood draw can sometimes alter the result. Blood has to be drawn at a doctor's office or drawing station, and it is more difficult to obtain samples at the desired times (e.g. early am), multiple times through the day or late evening. There is also an extra cost involved in drawing blood, independent of the cost for the test itself.
Hormones in saliva are exceptionally stable, allowing wide latitude in collection and shipment. Samples can be stored at room temperature for at least a week without loss of activity, so samples can be shipped to the testing facility by regular mail. Blood, on the other hand, must be kept cool on ice packs, increasing costs for shipping as well as the likelihood of error due to improper handling.
Finally, saliva hormone testing allows you to take more control over your own health. Saliva testing may help you to gain insight into health problems before you see your doctor. It will also allow you to monitor an OTC hormone replacement if improvement in quality of life, disease prevention, or anti-aging is your goal.
How Can Saliva Hormone Tests Help You?
There are several ways salivary hormone tests can help you to take responsibility for, and optimize your health.
The first way is to help identify possible causes of health problems. Depending on the specific hormones involved, certain symptoms or groups of symptoms are usually present when hormonal imbalance exists. Hormone testing is a valuable way to determine which hormones need to be supplemented to achieve hormone balance.
Called the estrogenic hormones. This group consists of estradiol, estrone and estriol. While it is largely considered a female hormone, estrogen is also produced in males, though in smaller quantities. In women, estrogen is synthesized primarily by the ovaries, but can also be produced by the adrenal glands and fat tissue. While in men, estrogen is mainly produced by the testes, adrenal and pituitary gland. The main role of estrogenic hormones in the female body is to stimulate the growth and development of sexual characteristics and reproduction. Essentially, natural estrogen is responsible for the changes in breasts during adolescence and pregnancy including the development of milk ducts for lactation, and for the growth of the uterine lining in the first part of the menstrual cycle. It also serves to regulate several metabolic processes including cholesterol levels and bone growth.
During puberty, estrogen helps facilitate many of the physical changes men experience, such as chest and facial hair growth, muscle development and deepening of the voice.
Estrogen improves bone density and reduces the risk of osteoporosis for both women and men. Estrogen helps prepare a woman's body for pregnancy and in males, estrogen assists in the growth and maturity of sperm. In addition to reproductive function, estrogen also boosts libido and sexual desire.
Estrogen refers to any one hormone in a specific chemically similar group
It's important for women and men alike to balance estrogen levels to avoid health challenges, such as osteoporosis, obesity and diabetes. If you think that you may be experiencing symptoms of an estrogen imbalance, simple test can determine your hormone levels and help you decide if estrogen therapy is the right option for you.
Progesterone is an essential substance from which our body makes many of the other hormones vital for good health. Interestingly, progesterone is made in your body from cholesterol. First, your body turns cholesterol into pregnenolone. The Pregnenolone is then converted into progesterone and then your body then makes a cascade of other hormones that it needs from progesterone. Progesterone serves as a precursor not only to DHEA, testosterone and estrogen, but also to cortisol, the stress hormone. It is also the precursor to the sex hormones estrogen and testosterone and is secreted primarily by the ovaries in females and by the testes in men. Smaller amounts are produced by the adrenal glands and in the brain cells of both women and men. This makes it instrumental in many core biologic functions.
Progesterone is not exclusively a female hormone nor is it a 'sex' hormone. It plays no part in the secondary sexual characteristics that develop during puberty.
Progesterone plays a major role in the body and has many functions in both males and females of all ages. Progesterone is responsible for regulating blood sugar, developing intelligence, building bones, brain activity and many more. Additionally, progesterone plays an important role in concerting fat into energy, regulating thyroid hormone production, and helping to reboot libido. It is also a natural antidepressant, aids in normalizing blood clotting, helps to initiate sleep and is a natural diuretic along with many other vital functions.
Progesterone has a calming effect by activating the GABA receptor sites. GABA is our most calming, inhibitory neurotransmitter and effective against some forms of epilepsy. Progesterone also boosts the immune system. Our bodies make it all the time.
Unlike non-bio-identical or synthetic hormones, the more "natural" bio-identical progesterone has the same structure as progesterone your own body would produce. Therefore, it is able to fit on all of the progesterone receptors and create the other hormones along the hormone pathway.
Progesterone replacement therapy is perhaps one of the most effective methods of restoring progesterone levels in the body. Progesterone therapy boosts low progesterone levels by supplementing progesterone either synthetically or naturally. Most women opt for natural bio-identical progesterone as safer alternative to synthetic progesterone to minimize the risk of breast cancer and heart disease. Progesterone therapy is either administered by cream, gel, patch or pellet insertion, usually depending on availability, cost and convenience of use. Some physicians may decide to combine the progesterone with estrogen, and in some cases, testosterone to help women and men regain overall balance.
Testosterone is the principle hormone in a group of hormones called androgens. Testosterone is notorious for its role in sexual function, in addition to helping build muscle mass, maintain bone density and regulate hair growth. It is derived from cholesterol (like all the sex hormones) and its immediate precursor is DHEA. Although it thought of as "the male hormone", testosterone also plays an important role in women.
In men, testosterone is produced by the testes, whereas in women, testosterone is primarily secreted by the ovaries.
If you think that your testosterone levels might be low, hormone testing is available to help determine where you stand.
Call Open Care at 877-546-9362 and start feeling better today!
Cortisol is commonly referred to as "the stress hormone." The hormone is secreted by the adrenal glands and released into the bloodstream as a "fight or flight response" to stress. The highest quantities of cortisol are produced in the early morning hours and then production slowly tapers off throughout the day. In addition to stress, other factors can also trigger an increased production of cortisol, such as exercise, excitement and low blood sugar.
How does cortisol affect the body?
On the short-term, cortisol can be lifesaving because it helps the body deal with stress. As the stressor is dealt with, a level of homeostasis can be restored in the body and the cortisol level returns to its normal, lower level. Unfortunately, many of us live stressful lives and experience heightened stress levels for extended periods of time. This constant alert is also known as chronic stress, and it can oftentimes lead to variety of symptoms resulting from an overproduction of cortisol. In some cases, cortisol inhibits the production of insulin, a hormone responsible for metabolic functions and blood sugar regulation. When this happens, the results vary from weight gain to more serious health conditions, such as type II diabetes and metabolic syndrome (syndrome X).
The best part about getting your cortisol levels tested is that there is no blood draw required - instead you simply fill a few tubes with your spit and the saliva is then shipped off to a lab for analysis. Based on the test results, physician will help balance your cortisol levels, pharmaceutical-grade supplementation and bio-identical hormone therapy.
It's no wonder they call DHEA the "mother of all hormones." We need it to help us reach maturity - and to keep our systems on track. Secreted by the adrenal gland, it is the most abundant steroid in our bodies and serves as the foundation for male and female sex hormones (androgens and estrogens). DHEA is a precursor hormone, meaning that it plays a role in the production and function of many other hormones throughout the body. Being that DHEA is so critical to our delicate interplay of hormones, DHEA imbalances oftentimes lead to imbalances of other hormones, such as estrogen, testosterone and cortisol.
After the age of 30, DHEA levels begin to decrease, which "helps" the aging process. In fact, by age 70, we only produce about 10% of what we did as 20-year-olds. That certainly explains a lot!
Low levels of DHEA can cause: Fatigue, Loss of strength and muscle mass, Depression, Aching joints, Decreased sex drive, Impaired immune function Adequate DHEA levels can help: Increase testosterone levels, Restore muscle mass, Improve the body fat ratio, Improve memory, Boost the immune system Promote flexibility, Raise endurance levels. DHEA can also help combat auto-immune disorders, obesity, senile dementia, osteoporosis, chronic fatigue syndrome and depression.
At the base of your brain sits your pituitary gland that is responsible for the production of several different hormones. One such hormone is the human growth hormone or HGH for short. This particular hormone serves several purposes including enhancing tissue growth by stimulating the formation of protein, contributing to strong bones, increasing muscle mass and stimulating the immune system.
HGH was initially used to boost growth and development in children suffering growth hormone deficiencies. In most cases, the child's growth was stunted due to the pituitary gland not producing enough growth hormone on its own.
HGH is prescribed as liquid and a powder with a diluting solution for use as an injectable delivery method. These are the only formulations that have been approved by the FDA.
What does HGH do?
Like other hormones in our body, as we age, our hormone levels begin to naturally decline. This is also true of human growth hormone. It's important to understand how hormones within the body are closely related to one another, and how deficient levels of human growth hormone can impact other hormones throughout the body. It is never a good idea to add a hormone to your body without first understanding your current hormone levels and how the new hormones will affect your body's chemistry.
Common uses of human growth hormone include, building muscle mass, increasing energy levels, boosting libido, regulating sleep patterns and weight loss. Scientific research suggests that balanced nutrition, pharmaceutical-grade supplementation, regular exercise and natural bio-identical hormone therapy can offer all these benefits and more.
Bio-identical Hormone Therapy Side Effects
Bio-identical hormones are structurally identical to the hormones produced naturally by your body. They fit perfectly in all the receptors they're supposed to fit in and your body can't tell these hormones apart from its own natural hormones. That's why they don't typically have actual side effects, per se.
Reaching optimal hormone levels is a balancing act that may take some time to get right. Your hormones need to be tested a few times and your dosages may be adjusted over time as we look for the ideal treatment plan for you. During this process, any hormone imbalances that may occur can cause side effects. In some cases, they may be similar to the symptoms you were initially experiencing - or they may even be worse.
The adverse effects that may occur depend upon which hormone levels remain unbalanced. While seeking optimal hormone balance, you may experience a variety of such effects, including but not limited to: Headaches, Irritability, Mood swings, Increased acne, Difficulty sleeping, Breast tenderness, Itching at the application site.
It may be frustrating to continue to see the same kinds of symptoms that you're seeking treatment for, but as your testing continues and your hormone levels are adjusted, you will feel much better. Once your hormones have reached an ideal balance, you are likely to see a drastic reduction or absence of these adverse effects. The adjustment period may take several visits, but its well worth the wait!
A Natural Approach to Balance
Many studies have shown that traditional (synthetic) hormone therapy can increase the likelihood of various types of cancer and heart disease. With bio-identical hormone replacement therapy (BHRT), many women and men can find relief from symptoms of hormonal imbalance without the risks that come along with synthetic hormones.
Bio-identical hormones - or bio identical hormones - are derived from naturally occurring sources, such as yams and soy, and are designed to replicate the same chemical structure as the hormones that are produced naturally by our bodies. Based on your hormone levels, a specialized compounding pharmacy can individually tailor a bio-identical hormone regimen specifically designed for you.
On the flip side, synthetic hormones are intentionally different. Pharmaceutical companies can't patent bio-identical hormones because each regimen is specifically formulated to treat each patient on an individual basis. Instead, they manufacture synthetic hormones that are patentable.
Bio-identical hormones are more appealing to the masses when dealing with menopause or andropause because they are derived naturally and our bodies can metabolize them properly. Another advantage of using bio-identical hormones is that they are specifically designed to match your individual hormonal needs - unlike synthetic hormones, which use a one-size-fits-all approach to symptom relief.
There is an overwhelmingly large body of evidence that supports the claim that bio-identical hormone therapy is safer and more effective than synthetic hormone replacement. However, it's important to remember that no drug, supplement or herb is 100 percent safe - there is always a chance that you may experience an adverse reaction. That's why it's critical for women and men to consult with a hormone specialist before beginning any hormone therapy regimen, to safe-guard themselves from side effects.
At Open Care, our goal is to help women and men live the best life possible. Remember: the human body is resilient. When you give your body the attention and support it needs, you'll look better and feel better because of it.
Monday - Friday : 10AM - 6PM (Walkins welcome before 5pm)
Saturday : 11AM - 5PM (Walkins welcome before 4pm)
2001 East 4th Street (Corner of 4th Street & Golden Circle)
Suite 200 (Upstairs on 2nd Floor)
Santa Ana, CA 92705